Individual provider Active NPI

Gloria Mea Frazier, GLORIA FRAZIER, RBT

  • Behavior Technician
  • Gainesville, GA
National Provider Identifier
1124911805
Registry record updated May 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
447 Bradford St NW
Gainesville, GA 30501-3210
Phone
(706) 870-1331
Fax
(678) 765-6971
NPI assigned
May 31, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X BACB1026457 GA
Behavior Technician 106S00000X Primary

Addresses

Primary practice location

447 Bradford St NW
Gainesville, GA 30501-3210

Mailing address

365 Sosby Cir
Carnesville, GA 30521-2424
Phone (678) 520-1942

Other names 1

  • Gloria Mea Frazier Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BACB1026457GAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Behavior Consultants CurrentSince Jun 3, 2025 Accepting new patients

Locations

447 Bradford St NW
Gainesville, GA 30501
Phone (706) 570-1331

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1748649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748649600000",
    "number": "1124911805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 SOSBY CIR",
            "city": "CARNESVILLE",
            "state": "GA",
            "postal_code": "305212424",
            "telephone_number": "678-520-1942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "447 BRADFORD ST NW",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013210",
            "telephone_number": "706-870-1331",
            "fax_number": "678-765-6971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRAZIER",
        "first_name": "GLORIA",
        "middle_name": "MEA",
        "credential": "GLORIA FRAZIER, RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-31",
        "last_updated": "2025-05-31",
        "certification_date": "2025-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "GA",
            "license": "BACB1026457",
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GLORIA",
            "last_name": "FRAZIER",
            "middle_name": "MEA",
            "credential": "GLORIA FRAZIER, RBT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.